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Sores or lesions on the female genitalia or in the vagina may have a number of possible causes.
Sores on the female genitals
Genital sores may be painful, itchy, produce a discharge, or cause no symptoms at all.
Because genital lesions or sores can have a negative affect on a person's self-image, many people do not seek proper medical care. All genital sores should be evaluated by a medical professional.
Itching, painful urination, or painful sexual intercourse often occur with genital lesions.
Sores or lesions on the female genitals are often caused by sexually transmitted infections (STIs). STIs that can cause these sores include:
Precancerous changes of the vulva (vulvar dysplasia) may appear as white, red, or brown patches on the vulva, and may cause itching. The vulva can also develop skin cancers such as melanoma and basal cell and squamous cell carcinomas.
Nonsexually transmitted diseases may also produce sores on the genitals. In young girls (before puberty), common causes of genital sores include:
Less common causes include:
See a health care provider before treating yourself. You may make it more difficult for your health care provider to determine what is wrong.
A sitz bath may help relieve itching and crusting.
If the sores are caused by a sexually transmitted infection, notify your sexual partner so that he or she can be treated. Do not have any type of sexual activity until your health care provider says the sores can no longer be spread to others.
Call your health care provider if you:
Your health care provider will perform a physical examination. The physical examination will usually include a pelvic examination. You will be asked questions about your symptoms and medical history. Questions may include:
The following tests may be done:
Treatment may include medications that are applied to the skin or that are taken by mouth. The type of medication depends on the cause, but may include corticosteroids, antiviral drugs, antibiotics, or drugs to control itching.
Frumovitz M, Bodurka DC. Neoplastic diseases of the vulva: lichen sclerosus, intraepithelial neoplasia, Paget's disease, carcinoma. In: Katz VL, Lentz GM, Lobo RA, Gershenson DM. Comprehensive Gynecology. 5th ed. Philadelphia, Pa: Mosby Elsevier; 2007:chap. 30.
Eckert L, Lentz GM. Infections of the lower genital tract: vulva, vagina, cervix, toxic shock syndrome, HIV infections. In: Katz VL, Lentz GM, Lobo RA, Gershenson DM. Comprehensive Gynecology. 5th ed. Philadelphia, Pa: Mosby Elsevier; 2007:chap. 22.
Zeimet A, McBride DR, Basilan R, et al. Infectious diseases. In: Rakel RE, ed. Textbook of Family Medicine. 8th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 16.